Organization
STARBOARD HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOLAN PERRY III (PRESIDENT)
(215) 820-6964
Entity
Organization
Contact information
Practice address
1401 ARCH ST APT 211, PHILADELPHIA, PA 19102-1525
(215) 820-6964
Mailing address
1401 ARCH ST APT 211, PHILADELPHIA, PA 19102-1525
(215) 820-6964
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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